Organization
LUCY'S PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERA GILES (OWNER)
(770) 725-7943
Entity
Organization
Contact information
Practice address
2002 CLEVELAND RD, BOGART, GA 30622-1644
(770) 725-7762
(770) 725-2192
Mailing address
217 FOWLER MILL RD, BOGART, GA 30622-1613
(770) 725-7943
(770) 725-2192
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH008602
GA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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